Marykay Sinner

Individual provider Active NPI Community Health Registered Nurse · Olivia, MN

NPI 1710215124 · NPPES record last updated Nov 23, 2009

Key facts

NPI
1710215124
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
R103192-6 (MN)
Practice address
105 S 5TH St
Suite 119H
Olivia, MN 56277-1374
Phone
(320) 523-2570
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R103192-6MNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R103192-6 MN Yes

Addresses

Primary practice location

105 S 5TH St
Suite 119H
Olivia, MN 56277-1374

Mailing address

105 S 5TH St
Suite 119H
Olivia, MN 56277-1374
Phone (320) 523-2570

Other providers in Olivia, MN

All providers in Olivia, MN · Community Health Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.